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r <br /> . Ao Reit/i se eP ,,„ <br /> a. GCG Ap•lication Number: APP-22949 <br /> DANE CO Y ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080472 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TIMOTHY VICK (608)239-4681 INSTYLE SCREENROOM & DECK <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2177 FALLEN OAK TRL 630 SUNRISE DR., <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 LODI, WI 53555 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0611-341-6868-3 PLEASANT SPRINGS 34 NE SE <br /> •J a•7 J 4:I ilv/d'1Il:I*Hill HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2177 FALLEN OAK TRL <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 18 PLAT: OAKWOOD HILL-NORTH <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: X)New ❑Addition/Alteration CENSUS CODE <br /> R-1 0.784 Description:22'X 24' DETACHED GARAGE 328-OTHER NON-RES <br /> CATEGORY XI Residential Li Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public XI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 1914 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes NI No ❑Yes X No ❑Yes A No <br /> HEIGHT(In Feet) BASEMENT FLOOR TOTAL SQUARE FEET <br /> 15 528 528 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 13,000.00 <br /> PERMIT FEE <br /> I Sq.Ft. Sq.Ft. $ 90.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that <br /> information. I further certify I am the owner of the property,or a duly authorized representative,and may sign this permit application on behalf of the <br /> owner(s) of said property, and I have read and understand all of the conditions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This co -•t is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or rlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIG ATU- • • er/A•ent i DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit -lip / ' <br /> OFFICE USE ONLY <br /> SURVEY REQUIR ■ DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Ye r■ +o DJE1 <br /> DATE REV WED Jul 2008 <br /> WED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 1111■11. <br /> 1.THIS APPROV c•NE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQ -4 - <br /> 4p <br /> THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF A\ 0,r I ,I ATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS NCI, <br /> 2. SURVE 'l : ENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ o <br /> 545-112(12/05) GCS-single <br />